• David Alfandre


This introductory chapter provides a basic overview on the topic against medical advice (AMA) discharges in medicine. It reviews the concept of patient-centered medicine and situates it within the realm of health-care quality as described in the 2001 Institute of Medicine Report, Crossing the Quality Chasm. This introduction provides readers with a brief description of each chapter within the book with particular attention to how each topic can address health-care quality.


Against medical advice Ethics Quality Patient-centered 

Suggested Reading

  1. 1.
    Alfandre DJ. “I’m going home”: discharges against medical advice. Mayo Clin Proc. 2009;84(3):255–60.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Alfandre D. Reconsidering against medical advice discharges: embracing patient-centeredness to promote high quality care and a renewed research agenda. J Gen Intern Med. 2013;28(12):1657–62.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Institute of Medicine (US). Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.VHA National Center for Ethics in Health Care, Department of Veterans AffairsNYU School of MedicineNew YorkUSA

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